Cornwall Air Ambulance Registration Form

    PLEASE COMPLETE AND SUBMIT. THIS TOGETHER WITH YOUR REGISTRATION FEE WILL CONFIRM YOUR PLACE ON THE TRIP - PLEASE COMPLETE ALL THE QUESTIONS. All accommodation is based on two persons sharing. Please do let us know if you are travelling with a friend or partner who you would like to share your room/tent with when you send the form back. Please check and double-check all the details you provide below. If any of the details given below are not accurate this may result in difficulties with flight tickets and/or relevant visas. Expedition Kit 360 Clients have a 15% discount from www.cotswoldoutdoor.co.uk using discount code (in-store or online) AF-360EXP-M7 360 Clients have a 15% discount with PowerTraveller who make portable solar chargers for electronic devices: www.powertraveller.com use discount code 360EXP Kit is also available to hire from Outdoor Hire. 360 have kit lists already set up so click on the link, find your trip and hire any kit you need: www.outdoorhire.co.uk - 360 Kit lists - discount code 360OH966 Trip Insurance We recommend True Traveller Insurance how you must ensure that this policy is suitable for your personal circumstances before buying. Please read the policy document carefully and ensure it provides the cover you need http://www.truetraveller.com/?Affiliate=4258

    Expedition Details

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    Personal Details

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    Passport Details

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    Next of Kin

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    Travel Insurance Details

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    Medical Details

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    Charity Requirements

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    Please note

    It is important to remember that should you wish to come on a trip, you will need to accept that healthcare facilities and standards can be very different to that in the UK. If you are not willing to accept this then please reconsider travelling with us

    Terms & Conditions

    Please print you name and the date in the correct space below. By submitting this form you are indicating that you have read and understood our terms and conditions which can be found at http://www.360-expeditions.com/terms-and-conditions
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    360 Expeditions is a registered Limited Company trading under the name "Three Hundred and Sixty Degrees Expeditions" (Company No. 06498880) ATOL Registration: 10132

    360 Expeditions First Floor Offley Works 44-46 Offley Road London SW9 0LS Tel: 0207 1834 360 www.360-expeditions.com livethedream@360-expeditions.com